| Theresa Hurley, CNP | |
|
4241 Johnny Cake Ridge Rd, Eagan, MN 55122-2235 | |
| (866) 389-2727 | |
| Not Available |
| Full Name | Theresa Hurley |
|---|---|
| Gender | Female |
| Speciality | Nurse Practitioner |
| Experience | 12 Years |
| Location | 4241 Johnny Cake Ridge Rd, Eagan, Minnesota |
| Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1689077232 | NPI | - | NPPES |
| 1689077232 | Medicaid | MN |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363L00000X | Nurse Practitioner | F0714534 (Minnesota) | Primary |
| 363LF0000X | Nurse Practitioner - Family | 2660 (Minnesota) | Secondary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Monument Health Spearfish Hospital | Spearfish, SD | Hospital |
| Monument Health Rapid City Hospital | Rapid city, SD | Hospital |
| Monument Health Sturgis Hospital | Sturgis, SD | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Monument Health Network Inc | 5991616427 | 163 |
| Mrh Corp | 1355770892 | 36 |
| Entity Name | Monument Health Network Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1588185268 PECOS PAC ID: 5991616427 Enrollment ID: O20031111000854 |
| Entity Name | Monument Health Rapid City Hospital Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1275553463 PECOS PAC ID: 6002729506 Enrollment ID: O20070625000144 |
| Mailing Address | Practice Location Address |
|---|---|
| Theresa Hurley, CNP 4241 Johnny Cake Ridge Rd, Eagan, MN 55122-2235 Ph: Not Available | Theresa Hurley, CNP 4241 Johnny Cake Ridge Rd, Eagan, MN 55122-2235 Ph: (866) 389-2727 |
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